Big Daddy (4)

Question 1

*Various systems & technology used to record, monitor, & deliver pt care, as well as perform managerial & organizational functions. HIT is used to support systems that collect data needed for pt care, population health management, & for the sharing of this information within a secure system. Large datasets resulting from Meaningful Use (MU) & other incentives will provide increased evidence to support HIT policy decisions that weigh national, as well as global implications.

Answer 1

Health Information Technology (HIT)

Question 2

manage health information for specific areas of healthcare. Health information systems are categorized as clinical information systems or administrative information systems.

Answer 2

Health information systems (HIS)

Question 3

is what is involved in the design, development, implementation, integration, creation, use, and maintenance of health information systems. HIT also refers to the area of healthcare that uses computer hardware, software, or infrastructure to record, retrieve, analyze, archive, secure, and share clinical administrative, and financial information. HIT is the backbone and foundational structure of many advancements in healthcare such as clinical decision support, computerized disease registries, computerized provider order entry, consumer health IT applications, electronic medical record systems (EMRs, EHRs, and PHRs), electronic prescribing, and telehealth.

Answer 3

Health information technology (HIT)

Question 4

*Sets the national Standard of Personal Health Information. Legal Protection for PHI. Electronic transactions need to have HIPAA compliant codes. Signing into devices should require authentication encryption & should never be left unattended. Email & instant messaging may carry PHI that can be intercepted. Fines prior to 2/18/09 are $100/violation w/ a max of $25000 yearly. If after 2009, fine can be $100-50000+/violation, w/ a max of $1.5 million yearly. Criminal penalty fines can be up to $50000 & 1-year in jail.

Answer 4

Health Insurance Portability & Accountability Act (HIPAA)

Question 5

What legislation provides more rigorous enforcement of HIPPA & requires notification of breaches & allow pt access to their electronic records?

Answer 5

HIPPA Breach notification Rule, US dept of health & human services (HHS) & Office for Civil rights (OCR) is responsible for enforcing HIPPA

Question 6

What are 3 common reasons for HIPPA violation citations?

Answer 6

Lost or stolen unencrypted devices, social media postings, taking a patient photo with a personal phone.

Question 7

Lab results qualify as this because they can give an indication of a patient’s underlying condition.

Answer 7

PHI

Question 8

Which area is an example of where information and data privacy issues may arise?

Answer 8

Informed consent records because it records detail specific information such as tests, procedures, laboratory results, etc. and may compromise privacy if improperly handled.

Question 9

Best practices for HIPAA

Answer 9

require password

Question 10

Employee falls & gets hurt at work

Answer 10

Do not provide the info because HIPAA

Question 11

HIPAA protection?

Answer 11

Name and DOB

Question 12

Hiker information given to newspaper?

Answer 12

Hospital violates HIPAA because they did not follow their guidelines

Question 13

Input pt data into journal?

Answer 13

HIPAA

Question 14

How to protect pt data

Answer 14

Maintaining HIPPA protocols, encrypted EHR storage, training employees on a need-to-know basis.

Question 16

is to advocate, uphold, and defend the consumer’s right to privacy and the doctrine of confidentiality in the use and disclosure of information. While this guiding principle is focused on the health information management professional, it also applies to the nursing profession.

Answer 16

AHIMA Code of Ethics

Question 17

The use of standardized data sets is critical for EHR. Which 2 standards support the interoperability of healthcare data?

Answer 17

DICOM (Digital Imaging and Communications in Medicine) & HL7 standards.

Question 18

*A standard/framework for the exchange of data (PHI) between information systems w/ extensive set of rules that applies to all data that is exchanged, shared, integrated, or retrieved. Refers to both organization & its standards to exchange data. Specifies how the data is coded.

Answer 18

*Health Level 7 (HL7)

Question 19

*Is the international standard diagnostic classification for health-management purposes and clinical use. The ICD diagnoses are used to classify mortality & morbidity data from input & output records. Also used for reimbursement.

Answer 19

International Classification of Diseases-10th Revision (ICD-10)

Question 20

What are the ICD10 international classification of diseases?

Answer 20

LOINC & SNOMED

Question 21

is terminology specific to lab tests, orders and result

Answer 21

LOINC

Question 22

*Globally recognized, controlled healthcare vocabulary that provides a common language for EHRs. Enables a consistent way of capturing, sharing, & aggregating health data across all specialties & sites of care. Supports interoperable data collection & exchange.

Answer 22

SNOMED Clinical Terms

Question 23

What is a reason to have standardized terminology within a healthcare setting?

Answer 23

It provides the effective exchange of information between providers

Question 24

Which two statement defines healthcare informatics?

Answer 24

Standardized languages & terminologies to ensure consistent meanings across all settings

Question 25

*capacity of an individual to express their needs & preferences & to respond to the need for info about services provided for them. Low health literacy highly impacted by culture, ethnicity, race, environment, & social class. Health literacy involves teaching pts enough info about their illnesses & about how the health system works so they can appropriately manage their health. Most common challenge in advancing health literacy is assuming pts understand the medical terminology that healthcare pros are comfortable with. Health literacy is not restricted to knowing how to interact w/ the internet for their health information.

Answer 25

Health Literacy

Question 26

refers to the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions. When health literacy is improved, patients are better equipped to understand their health conditions and the necessary steps for treatment, leading to better patient outcomes.

Answer 26

Health literacy

Question 27

Assessing pt health literacy?

Answer 27

Informatics have a variety of options for documentation of pt understanding. Informatics can evaluate current state & determine resources needed to determine pt level of understanding.

Question 28

Health literacy universal precaution-AHRQ?

Answer 28

5th grade reading level is the best

Question 29

mission is to advance excellence in healthcare by producing evidence to make healthcare safer, higher quality, more accessible, equitable, and affordable. It devotes to improving healthcare quality and safety.

Answer 29

The Agency of Healthcare Research and Quality (AHRQ)

Question 30

Barriers to using health informatics to improve health literacy?

Answer 30

Informatics utilizes technology as a foundation, but technology isn’t always available to people with lower health literacy

Question 31

Universal precautions approach to health literacy?

Answer 31

Treating all pts as if they are at risk of not understanding health information speaking to pts in language appropriate terminology.

Question 32

*INTERDISCIPLINARY FIELD. It is the science & art of turning data into information. Combines computer/decision/information/management/cognitive sciences & organizational theory. Broad scope encompasses natural language processing, data mining (looking for hidden patterns & exceptions in large groups), research, decision support, & genomics.

Answer 32

Informatics

Question 33

Expected to be educationally prepared to conduct informatics research, generate informatics theory, and have advanced understanding & skills in information management & computer technology.

Answer 33

Informatics Innovator

Question 34

A RN w/ advanced skills specific to health information management & computer technology w/ expertise in systems development life cycles.

Answer 34

Informatics Specialist

Question 35

Application of informatics to all the healthcare disciplines as well as to the practice of medicine.

Answer 35

Medical Informatics

Question 36

Data that has been interpreted.

Answer 36

Information

Question 37

Ability to recognize when information is needed as well as the skills to find, evaluate, and use needed information effectively. Information literacy is the knowledge & ability to locate, organize, use, communicate, & interpret print & electronic sources of information.

Answer 37

Information Literacy

Question 38

Relationship has been established where private information is shared but not disclosed unless the pt givens permission.

Answer 38

Confidentiality

Question 39

Which term refers to ensuring confidentiality when sharing a patient’s electronic personal health information?

Answer 39

Security

Question 40

**Information has value & requires protection.

Answer 40

Information Security

Question 41

*Deceptive method used to steal sensitive information. In phase 1, the recipient typically receives a phish, or e-mail. Phase 2 involves the victim following through on what they are asked to do, such as completing a form. Once the recipient completes the information, the hackers now have information that they can use for nefarious purposes.

Answer 41

Phishing

Question 42

What are 2 common threat sources to information & information system security?

Answer 42

Malware attacks & hackers

Question 43

What is a type of phishing?

Answer 43

Trojan

Question 44

What is a technical safeguard ePHI?

Answer 44

Access control, audit controls and authentication.

Question 45

What is an important security consideration related to the use of email application to send & receive patient data?

Answer 45

Emails have the potential to go to other users

Question 46

The protection of physical items, objects, or areas from unauthorized access & misuse. Measures- placement of computers, file servers, routers, switches, & computers in restricted areas. Other examples include physical locks on devices.

Answer 46

Physical Security

Question 47

What is a physical safeguard of ePHI?

Answer 47

A lock on the USB port on computers.

Question 48

What is a physical safeguard?

Answer 48

A covered entity that limits physical access to facilities while ensuring authorized access is allowed. For example; lock on hard drive. Facility Access Controls Workstation Use Workstation Security - Device & Media Controls

Question 49

Non-tangible protocols used for identification, authentication, authorization, & accountability (ex: automatic sign-off after a period of inactivity).

Answer 49

Logical Security

Question 50

• National security standards health information in electronic form.

Goal

Answer 50

*Security Rule

protect the privacy while adopting new technologies to improve quality & efficiency of pt care. On a need-to-know basis.

Question 51

Define logical & physical security. Why are they important considerations in a healthcare facility?

Answer 51

Logical security-installing firewall protections, use of biometrics (fingerprints & scanning of eye), authentication (user specific passwords). Physical security-setting up surveillance, safeguarding workstations, lock up server room. These help protect pt information & pts.